Application

Date of Application(Required)

Position(s) Applied For(Required)

How did you learn about us?(Required)

Friend

Employment Agency

Relative

Other

Name(Required)

First Middle Last Suffix

Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code Country

Phone(Required)

Email(Required)

Best time to contact(Required)

If you are under the age of 18 years of age, can you provide required proof of your eligibility to work?

Yes

Have you ever filed an application with us before? If yes, give date:(Required)

Yes

Date

Have you ever been employed with Mitternight before? If yes give date:(Required)

Yes

Date

Do any of your friends or relatives, other than spouse, work here?(Required)

Yes

State name and relationship

Are you currently employed?(Required)

Yes

May we contact your present employer?(Required)

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?(Required)

Yes

Proof of citizenship or immigration status will be required upon employment

Date available for work:(Required)

What is your desired salary range?(Required)

Are you available to work:(Required)

Full Time

Part Time AM

Part Time PM

Temporary

Are you currently on "lay-off" status and subject to recall?(Required)

Yes

Are you available to work any shift?(Required)

Yes

Are you available to work overtime, if necessary?(Required)

Yes

Can you travel if a job requires it?(Required)

Yes

EDUCATION

Name of High School

High School Course of Study

High School Number of Years Completed

High School Diploma/Degree

Undergraduate Name of School

Undergraduate Number of Years Completed

Undergraduate Course of Study

Undergraduate Number of Years Completed

Undergraduate Diploma/Degree

Graduate/Professional Name of School

Graduate/Professional Course of Study

Graduate/Professional Number of Years Completed

Graduate/Professional Diploma/Degree

Additional Information

State any additional information you feel may be helpful to us in considering your application, including any job related training in the U.S. Military.

Note to applicant: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable accommodation?(Required)

Yes

Employment Experience

Start with your present or last job. Include any job related military service assignments and volunteer activities. Exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Starting/Present Job Title

Reason for Leaving

Dates Employed (From / To)

Work Performed

Hourly Rate / Salary

May we contact?

Yes

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Starting/Present Job Title

Reason for Leaving

Dates Employed (From / To)

Work Performed

Hourly Rate / Salary

May we contact?

Yes

Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Starting/Present Job Title

Reason for Leaving

Dates Employed (From / To)

Work Performed

Hourly Rate / Salary

May we contact?

Yes

REFERENCES

Name

Phone

Best time to call

Occupation

Name

Phone

Best time to call

Occupation

Name

Phone

Best time to call

Occupation

APPLICANT’S STATEMENT

I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving to an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this period should inquire as to whether or not applications are being accepted at the time.

I hereby understand and acknowledge that unless otherwise defined by the applicable law any employment relationship with this organization is of an “at will” nature which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in my discharge. I understand also that I am required to abided by all rules and regulations of the Employer.

READ CAREFULLY

I hereby authorize Mitternight Boiler Works, Inc., to verify and secure transcripts of my educational records, to make inquiries of my former employers as to my job performance, and to inquire of references as to my qualificationsand desirability as an employee.

Signature of Applicant(Required)

Date(Required)

CAPTCHA

EDUCATION

REFERENCES

APPLICANT’S STATEMENT

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